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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1241107



Case Details

VAERS ID: 1241107 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-21
Onset:2021-04-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Chills, Discomfort, Heart rate, Nausea, Pain, Pyrexia, Skin warm
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: One-a-day multivitamin
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart rate of 125 while sleeping, low-grade fever (99.8), skin felt like fire to the touch, chills, body aches, nausea, ball ody parts felt heavy, everything that touched my body hurt, room temperature water felt like it was burning my skin


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241107


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